LORI BROOKHART (NPI# 1982148730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982148730 |
Entity Type | Individual |
Full Name | LORI BROOKHART |
Practice Address |
1458 Yankee Park Pl Suite P Dayton OH 45458-1959 |
Practice Telephone | 9379525011 |
Mailing Telephone | 9379525011 |
Enumeration Date | 2016-12-13 |
Last Update Date | 2016-12-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.111003 | OH | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.1300082 | OH | Behavioral Health & Social Service Providers |
N | 104100000X | Social Worker | S.0800395 | OH | Behavioral Health & Social Service Providers |
Street Address |
1458 YANKEE PARK PL SUITE P |
City | DAYTON |
State | OH |
Zip Code | 45458-1959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
Find all providers in zip 45458 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
1578170403 | Nicholas Daniel Defazio | Counselor | 1951 S Gettysburg Ave, Dayton, OH 45417-4160 | 2020-09-24 |
1518576016 | Butler County Community Health Consortium, Inc. | Counselor | 2011 Timber Ln Ste B, Dayton, OH 45414-4528 | 2020-07-30 |
1578102075 | Yvonne De La Paix | Counselor | 350 Dayton Valley Rd Apt 15, Dayton, NV 89403-8918 | 2019-12-31 |
1346885530 | Arrell Johnson | Counselor | 120 Devonhurst Dr Apt F, Dayton, OH 45429-2180 | 2019-11-12 |
1235798968 | Joshua Minnich | Counselor | 1129 Miamisburg Centerville Rd # 201, Dayton, OH 45449-4004 | 2019-06-06 |
1669039418 | Lornette Darden Dallas | Counselor | South Community Behavioral Healthcare, 3095 Kettering Blvd, Dayton, OH 45439-2900 | 2019-05-28 |
1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
1447742895 | Darreon Darrell Greer Sr. | Counselor | Counseling and Wellness Services 053 Student Union, Dayton, OH 45435-0001 | 2018-06-01 |
1407366511 | Dominique Dixon | Counselor | 1 Elizabeth Pl Ste Rt-1, Dayton, OH 45417-3445 | 2017-10-03 |
Find all providers in DAYTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.